3D-CAM
Authors: Edward R. Marcantonio, Sharon K. Inouye
Journal: Annals of Internal Medicine (2015)

Letters7 April 20153D-CAMEdward R. Marcantonio, MD, SM and Sharon K. Inouye, MD MPHEdward R. Marcantonio, MD, SMFrom Beth Israel Deaconess Medical Center and Hebrew SeniorLife, Boston, Massachusetts.Search for more papers by this author and Sharon K. Inouye, MD MPHFrom Beth Israel Deaconess Medical Center and Hebrew SeniorLife, Boston, Massachusetts.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5073-2 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Wilford and colleagues describe their experience with the Nu-DESC (1), a brief delirium screening instrument that assesses 5 features: disorientation, inappropriate behavior, inappropriate communication, illusions/hallucinations, and psychomotor retardation. Each feature is rated 0, 1, or 2, and a total score of 2 or higher out of 10 is considered a positive screen for delirium. Of note, Nu-DESC scoring is based on routine nursing observations and requires no formal interviewing or cognitive testing. Therefore, it can be completed very quickly—in 1 minute or less. In the references that Dr. Wilford and colleagues provide, this tool has excellent test ...References1. Gaudreau JD, Gagnon P, Harel F, Tremblay A, Roy MA. Fast, systematic, and continuous delirium assessment in hospitalized patients: the nursing delirium screening scale. J Pain Symptom Manage. 2005;29:368-75. [PMID: 15857740] CrossrefMedlineGoogle Scholar2. Neufeld KJ, Leoutsakos JS, Sieber FE, Joshi D, Wanamaker BL, Rios-Robles J, et al. Evaluation of two delirium screening tools for detecting post-operative delirium in the elderly. Br J Anaesth. 2013;111:612-8. [PMID: 23657522] doi:10.1093/bja/aet167 CrossrefMedlineGoogle Scholar3. Inouye SK, Foreman MD, Mion LC, Katz KH, Cooney LM. Nurses' recognition of delirium and its symptoms: comparison of nurse and researcher ratings. Arch Intern Med. 2001;161:2467-73. [PMID: 11700159] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Beth Israel Deaconess Medical Center and Hebrew SeniorLife, Boston, Massachusetts.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-0865. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee Also3D-CAM: Derivation and Validation of a 3-Minute Diagnostic Interview for CAM-Defined Delirium Edward R. Marcantonio , Long H. Ngo , Margaret O'Connor , Richard N. Jones , Paul K. Crane , Eran D. Metzger , and Sharon K. Inouye 3D-CAM: Derivation and Validation of a 3-Minute Diagnostic Interview for CAM-Defined Delirium Edward R. Marcantonio , Long H. Ngo , Margaret O'Connor , Richard N. Jones , Paul K. Crane , Eran D. Metzger , and Sharon K. Inouye 3D-CAM Rex Wilford , Sue Fosnight , and Kyle Allen 3D-CAM Rex Wilford , Sue Fosnight , and Kyle Allen Metrics 7 April 2015Volume 162, Issue 7Page: 527-528KeywordsAlgorithmsBehaviorCognitionDeliriumDisclosureForecasting ePublished: 7 April 2015 Issue Published: 7 April 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...